Department of Urology Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.
Urology Centre, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200000, China.
Int Immunopharmacol. 2023 May;118:110088. doi: 10.1016/j.intimp.2023.110088. Epub 2023 Apr 1.
Inflammation is the major contributor to the mechanisms of acute kidney injury due to renal ischemia-reperfusion injury (IRI). Trans-cinnamaldehyde (TCA) is a main bioactive component extracted from the bark of cinnamon and has been proved to have good anti-inflammatory properties. The current study was to demonstrate the effect of TCA on renal IRI and explore its specific mechanism. C57BL/6J mice were injected prophylactically intraperitoneally for TCA 3 days, and IRI for 24 h. In parallel, Human Kidney-2 (HK-2) cells were prophylactically treated with TCA, and then exposed to oxygen glucose deprivation/reperfusion (OGD/R) and cobalt chloride (CoCl). TCA was found to significantly attenuate renal pathological changes and renal dysfunction, and inhibit gene and protein expression of kidney injury molecule-1 (Kim-1) and neutrophil gelatinase-associated lipocalin (NGAL). Furthermore, TCA significantly suppressed the expression of TNF-α, IL-6, IL-1β, COX-2, iNOS, and MCP-1. Mechanistically, the activation of the JNK/p38 MAPK signaling pathway was inhibited by TCA in renal IRI as well as in OGD/R and CoCl-stimulated cells. However, following pretreatment with anisomycin before OGD/R treatment, we found that the activation of the JNK/p38 MAPK signaling pathway was significantly enhanced, and concomitant abrogation of the TCA inhibitory effect on the JNK/p38 MAPK signaling pathway, which was followed by a worsening of cell injury that was characterized by an increased number of cell necrosis and an increase in the expression of Kim-1, NGAL as well as proinflammatory factors (IL-6, IL-1β, iNOS). In summary, TCA inhibited renal inflammation via the JNK/p38 MAPK signaling pathway and attenuated renal IRI.
炎症是导致肾缺血再灌注损伤(IRI)的急性肾损伤机制的主要因素。反式肉桂醛(TCA)是从肉桂树皮中提取的主要生物活性成分,已被证明具有良好的抗炎特性。本研究旨在证明 TCA 对肾 IRI 的影响,并探讨其具体机制。C57BL/6J 小鼠预防性腹腔注射 TCA 3 天,然后进行 24 小时 IRI。平行地,HK-2 细胞用 TCA 预防性处理,然后暴露于氧葡萄糖剥夺/再灌注(OGD/R)和氯化钴(CoCl)。结果发现,TCA 可显著减轻肾组织病理变化和肾功能障碍,抑制肾损伤分子-1(Kim-1)和中性粒细胞明胶酶相关脂质运载蛋白(NGAL)的基因和蛋白表达。此外,TCA 还显著抑制 TNF-α、IL-6、IL-1β、COX-2、iNOS 和 MCP-1 的表达。机制上,TCA 抑制肾 IRI 以及 OGD/R 和 CoCl 刺激的细胞中 JNK/p38 MAPK 信号通路的激活。然而,在用 OGD/R 处理前用anisomycin 预处理后,我们发现 JNK/p38 MAPK 信号通路的激活显著增强,同时伴随着 TCA 抑制 JNK/p38 MAPK 信号通路的作用被取消,随之而来的是细胞损伤加重,表现为细胞坏死数量增加,Kim-1、NGAL 以及促炎因子(IL-6、IL-1β、iNOS)的表达增加。总之,TCA 通过 JNK/p38 MAPK 信号通路抑制肾炎症反应,减轻肾 IRI。